"We try our best to offer them the little that we can" coping strategies of Ghanaian community psychiatric nurses: a qualitative descriptive study.

Journal: BMC nursing

Volume: 19

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Nursing, School of Nursing and Midwifery, University of Health and Allied Sciences, Ho, Ghana. Department of Community Health Nursing, School of Nursing and Midwifery, University of Ghana, Legon, Ghana. Department of General and Liberal Studies, University of Health and Allied Sciences, Ho, Ghana.

Abstract summary 

Community psychiatric nurses work in extremely stressful environments with intense patient relationships as they try to prevent self-harm and manage aggressive behaviors. In order to improve their ability to manage the stressful work environments, community psychiatric nurses need to incorporate formal coping strategies into their daily work routines. With evidence-based coping strategies, community psychiatric nurses can effectively manage the stressful situations in their work environment to increase their work longevity. The purpose of this study was to explore the individual coping strategies currently used by community psychiatric nurses in practice in order to develop an intervention strategy for future implementation.This was an exploratory qualitative study using an interpretative approach. A purposive sampling method was used to identify participants from the community psychiatric nurses in a region of Ghana. Participants were recruited and interviewed, guided by semi-structured questions, until saturation was reached. The interviews were audio-taped, transcribed verbatim, and analyzed thematically.A total of 13 participants, 10 women and 3 men ages 26 to 60 years, were interviewed for this study. From the inductive analysis, four coping themes emerged from the data including: 1) self-disguise, 2) reliance on religious faith, 3) self-motivation, and 4) reduction in the number of home visits. The participants described their work environment as stressful, almost to the point of overwhelming. In this regard, they identified the individual coping strategies as critical daily practices for self care to manage their high stress levels.Individual coping strategies are often used by community psychiatric nurses in daily practice. The participants identified personal coping strategies as critical interventions to manage stress and to decrease their risk for burnout. However, community psychiatric nurses must develop.personal-mastery in various coping strategies to care for themselves, as well as motivate them despite the challenging working environment. The individual coping strategies adopted by community psychiatric nurses was not only helped them deliver care, but also protected their clients so people would not label them as 'mental patients.' Collectively, the four strategies reported in this study need to be developed into a cohesive and comprehensive intervention.

Authors & Co-authors:  Opare Frederick Yaw FY Aniteye Patience P Afaya Agani A Glover-Meni Nathaniel N

Study Outcome 

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Statistics
Citations :  McTiernan K, McDonald N. Occupational stressors, burnout and coping strategies between hospital and community psychiatric nurses in a Dublin region. J Psychiatr Ment Health Nurs. 2015;22(3):208–218. doi: 10.1111/jpm.12170.
Authors :  4
Identifiers
Doi : 56
SSN : 1472-6955
Study Population
Men,Women
Mesh Terms
Other Terms
Community health;Coping;Nursing;Psychiatric;Religion;Self care;Stress
Study Design
Descriptive Study,Exploratory Study,Cross Sectional Study
Study Approach
Qualitative
Country of Study
Ghana
Publication Country
England